红色毛癣菌(Trichophyton rubrum,T.rubrum)是皮肤癣最主要病原;侧柏叶(Cacumen Platycladi)是侧柏[Platycladus orientali s(L.)Franco]的干燥嫩枝梢及叶,被《苗族医学》收录用于治疗皮肤癣。本研究旨在探讨侧柏叶抗T.rubrum的主要活...红色毛癣菌(Trichophyton rubrum,T.rubrum)是皮肤癣最主要病原;侧柏叶(Cacumen Platycladi)是侧柏[Platycladus orientali s(L.)Franco]的干燥嫩枝梢及叶,被《苗族医学》收录用于治疗皮肤癣。本研究旨在探讨侧柏叶抗T.rubrum的主要活性物质及其抗真菌机制,为抗皮肤癣新药研发提供帮助。本研究通过测定最小抑菌浓度和孢子萌发率分析了侧柏叶活性物质对T.rubrum的抑菌活性,使用电镜观察T.rubrum菌丝形态和孢子超微结构,并检测侧柏叶活性物质对T.rubrum细胞膜通透性、完整性和麦角甾醇含量的影响,从而阐述侧柏叶活性物质对T.rubrum抑菌机理,最后采用GC-MS和qRT-PCR方法找到其抗T.rubrum的作用靶点。结果显示,侧柏叶石油醚部位的α-蒎烯为主要抗菌活性成分,MIC为32μg·mL^(-1),极显著抑制孢子萌发(P<0.01);α-蒎烯可致细胞膜发生明显损伤和内容物流出、通透性极显著增加(P<0.01)以及24 h内细胞膜中麦角甾醇和24(28)脱氢麦角甾醇含量显著下降(P<0.05);引起脂质色谱图中ERG3活性抑制相关的“麦角甾烷-7,24-二烯-3β-醇”色谱峰出现;可极显著降低ERG3的相对表达量(P<0.01)。结果表明,α-蒎烯是侧柏叶中发挥抗T.rubrum活性最主要成分且以ERG3为其抗真菌靶点。展开更多
Aim: To establish a useful and objective classification for retinitis pigmentosa (RP) to evaluate the disease severity. Methods: This is a retrospective cross-sectional study. Visual acuity (VA), visual field (VF) wid...Aim: To establish a useful and objective classification for retinitis pigmentosa (RP) to evaluate the disease severity. Methods: This is a retrospective cross-sectional study. Visual acuity (VA), visual field (VF) width, ellipsoid zone width on optic cohorence tomography (OCT) and multifocal electroretinography (mf ERG) values were obtained from medical records of patients with RP. A scoring criterion was developed wherein each variable was assigned a score from 0 to 5 depending on its distribution. The cumulative score (from 0 to 20) was used to classify disease severity from grade 0 to 5. The scores were correlated with each other and the final grade. Results: Data of 152 eyes of 92 patients who had the results of all tests were reviewed. The mean age was 41.2 years. The mean VA of the patients was 0.13 ± 0.16 Snellen lines. The majority of patients had a VA less than 20/40 (88.6%), a visual field smaller than 20<sup>˚</sup> (78%), and an ellipsoid zone width smaller than 7<sup>˚</sup> (84.4%). The majority of the patients (85.4%) were in advanced stage of the disease (Grade 4 and 5). Conclusions: We present a simple, objective and easy to use disease severity classification for RP which can be used to categorize patients and to evaluate and compare treatment results.展开更多
文摘Aim: To establish a useful and objective classification for retinitis pigmentosa (RP) to evaluate the disease severity. Methods: This is a retrospective cross-sectional study. Visual acuity (VA), visual field (VF) width, ellipsoid zone width on optic cohorence tomography (OCT) and multifocal electroretinography (mf ERG) values were obtained from medical records of patients with RP. A scoring criterion was developed wherein each variable was assigned a score from 0 to 5 depending on its distribution. The cumulative score (from 0 to 20) was used to classify disease severity from grade 0 to 5. The scores were correlated with each other and the final grade. Results: Data of 152 eyes of 92 patients who had the results of all tests were reviewed. The mean age was 41.2 years. The mean VA of the patients was 0.13 ± 0.16 Snellen lines. The majority of patients had a VA less than 20/40 (88.6%), a visual field smaller than 20<sup>˚</sup> (78%), and an ellipsoid zone width smaller than 7<sup>˚</sup> (84.4%). The majority of the patients (85.4%) were in advanced stage of the disease (Grade 4 and 5). Conclusions: We present a simple, objective and easy to use disease severity classification for RP which can be used to categorize patients and to evaluate and compare treatment results.
